{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:01:19Z","timestamp":1753891279641,"version":"3.41.2"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Peritoneal dialysis (PD) is a common treatment method for patients with renal failure. While peritonitis and tube floating migration are commonly observed complications, visceral perforation caused by PD is relatively rare. We present a case report of a patient undergoing PD due to renal failure, who encountered two instances of visceral perforation. In both occurrences, Single-Photon Emission Computed Tomography\/Computed Tomography (SPECT\/CT) played a pivotal role in providing accurate diagnoses and precise localization of the perforation sites. This report underscores the paramount significance of SPECT\/CT in diagnosing visceral perforations in the context of PD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 73-year-old elderly male has been undergoing PD for 1 year due to renal failure. Recently, there has been impaired drainage of the PD catheter. The clinical team suspected the occurrence of peritonitis. The patient underwent a <jats:sup>99m<\/jats:sup>Tc Sodium Pertechnetate (<jats:sup>99m<\/jats:sup>Tc-NaTcO<jats:sub>4<\/jats:sub>) SPECT\/CT examination, which identified intestinal perforation. After 20\u2009days of conservative treatment, a SPECT\/CT follow-up examination revealed the resolution of the intestinal perforation, but a new bladder perforation emerged. The dialysis catheter was methodically and gradually withdrawn in stages while simultaneously performing bladder decompression. Following these interventions, the patient remained free from peritonitis and cystitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The utilization of SPECT\/CT proved to be highly valuable in the accurate diagnosis of visceral perforation, a relatively rare complication observed in PD patients.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2023.1327295","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T05:25:55Z","timestamp":1704691555000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Confirmation of intestinal and bladder perforations in a peritoneal dialysis patient using SPECT\/CT: a case report and review of literature"],"prefix":"10.3389","volume":"10","author":[{"given":"Xinchao","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujing","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fenglian","family":"Jing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Congna","family":"Tian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kang","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiale","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingjie","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanzhu","family":"Bian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,1,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1186\/s12882-017-0737-9","article-title":"Bowel perforation by a peritoneal dialysis catheter: report of two cases","volume":"18","author":"Fujiwara","year":"2017","journal-title":"BMC Nephrol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1177\/08968608221091024","article-title":"Peritoneal dialysis catheter exit via rectum","volume":"42","author":"Imam","year":"2022","journal-title":"Perit Dial Int"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1111\/sdi.12690","article-title":"Abdominal visceral perforation by buried peritoneal dialysis catheters: cause or coincidence?","volume":"31","author":"Yao","year":"2018","journal-title":"Semin Dial"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"17","DOI":"10.5414\/CNCS109656","article-title":"Successful Tenckhoff catheter salvage in a patient with peritoneovesical fistula: a case report","volume":"7","author":"Makkena","year":"2019","journal-title":"Clin Nephrol Case Stud"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1738","DOI":"10.1093\/ndt\/gfk022","article-title":"An accident with Tenckhoff catheter placement: urinary bladder perforation","volume":"21","author":"Ekart","year":"2006","journal-title":"Nephrol Dial Transplant"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"281","DOI":"10.5301\/jn.5000104","article-title":"Trends in the incidence of intestinal perforation in US dialysis patients (1992-2005)","volume":"26","author":"Yang","year":"2013","journal-title":"J Nephrol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1177\/089686080802800213","article-title":"Laparoscopic placement of Tenckhoff catheters for peritoneal dialysis: a safe, effective, and reproducible procedure","volume":"28","author":"Maio","year":"2008","journal-title":"Perit Dial Int"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1055\/s-0041-1741484","article-title":"Complications of percutaneous peritoneal Dialysis catheter","volume":"39","author":"Oza-Gajera","year":"2022","journal-title":"Semin Intervent Radiol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1097\/00002480-199101000-00005","article-title":"Seldinger technique for Tenckhoff catheter placement","volume":"37","author":"Zappacosta","year":"1991","journal-title":"ASAIO Trans"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1016\/s0272-6386(99)70266-0","article-title":"Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: a prospective randomized study on outcome","volume":"33","author":"Gadallah","year":"1999","journal-title":"Am J Kidney Dis"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1177\/000313480507100209","article-title":"A laparoscopic method for optimal peritoneal dialysis access","volume":"71","author":"Crabtree","year":"2005","journal-title":"Am Surg"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1308\/003588411X12851639107557","article-title":"Establishing pneumoperitoneum: Verres or Hasson? The debate continues","volume":"93","author":"Dunne","year":"2011","journal-title":"Ann R Coll Surg Engl"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"414","DOI":"10.3747\/pdi.2018.00232","article-title":"Creating and maintaining optimal peritoneal Dialysis access in the adult patient: 2019 update","volume":"39","author":"Crabtree","year":"2019","journal-title":"Perit Dial Int"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.amsu.2020.07.012","article-title":"Jejunal perforation during peritoneal dialysis catheter placement: a case report","volume":"57","author":"Raksasuk","year":"2020","journal-title":"Ann Med Surg (Lond)"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1007\/s13730-018-0328-z","article-title":"Intestinal perforation by a peritoneal dialysis catheter in which fungal peritonitis led to diagnosis: a rare case report","volume":"7","author":"Shima","year":"2018","journal-title":"CEN Case Rep"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1053\/j.ajkd.2016.01.010","article-title":"Bowel perforation during peritoneal Dialysis catheter placement","volume":"68","author":"Abreo","year":"2016","journal-title":"Am J Kidney Dis"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1186\/s12882-023-03155-9","article-title":"Jejunal perforation secondary to blind insertion of peritoneal dialysis catheter: a case report and review of literature","volume":"24","author":"Jacobs","year":"2023","journal-title":"BMC Nephrol"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1007\/s00259-012-2307-5","article-title":"Subcutaneous leak in a paediatric peritoneal dialysis patient","volume":"40","author":"De Gersem","year":"2013","journal-title":"Eur J Nucl Med Mol Imaging"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"e219","DOI":"10.1097\/RLU.0000000000004613","article-title":"SPECT\/CT in Pleuroperitoneal fistula associated with peritoneal Dialysis","volume":"48","author":"Rojas-Rojas","year":"2023","journal-title":"Clin Nucl Med"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"866","DOI":"10.1038\/ki.2014.266","article-title":"SPECT\/CT to diagnose pleuroperitoneal communication-associated hydrothorax in peritoneal dialysis","volume":"87","author":"Nishiyama","year":"2015","journal-title":"Kidney Int"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2023.1327295\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T05:25:57Z","timestamp":1704691557000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2023.1327295\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,8]]},"references-count":20,"alternative-id":["10.3389\/fmed.2023.1327295"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2023.1327295","relation":{},"ISSN":["2296-858X"],"issn-type":[{"type":"electronic","value":"2296-858X"}],"subject":[],"published":{"date-parts":[[2024,1,8]]},"article-number":"1327295"}}